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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED - Date: I0�3d 113 Permit Number: ©. RECEIVED ED Building Permit Applicat on 4nningandDevelopmentServices OCT 3O 20)� Building and Code Regulation Division 2300Virginia Avenue, Fort Pierce FL34982 Permitting Department Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R,ticWtjM CpVntY, FL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: S.2�vEsi- u-z_ Fc_ a,-k9Sl i Legal Description: LAKE MAi-►oCL P z\ �oP�Fs-zA---%y C -,3 t r�,cr 3°c bs - l r7 39 Property Tax ID #: o-k S - bDp4 , - oao 7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: DETAI.tED DESCRIPTION OF WORK: F`IJ, i Right Side: Left Side: �S-rHu_ r=i o: � Gn-% 6'r- A- rv�� rJ� car d vErci. ors + ) a 00� SRCIRMATION:CONI`' PNNFO Additional worktoeeormeuner this permit - c eapply: _ �HVAC Gas Tank Gas Piping _ Shutters 1] Windows/Doors Llectric ElPlumbing Sprinklers Generator Roof Roof pitch Total S'q. Ft of Construction: "(3� Cost of Construction: $ S7' LS • vo S Ft. of First Floor: Utilities:Cn Sewer E] Septic Building Height: `-'OWNER/LESSEE: CONTRACTOR: Name Cw GErNiA ice Name: John E. Murray -Company:-rAMS Inc Address-.'\N'S 1 5 .-4;-soca,-j a,,Vfm 9rti '�'c -City: '`-3w7c State:FC- Zip Code: �ciS'� Fax: Phone No. "l� a. - 3'-�k ^3 \ E-Mail:l Fill in fee simple Title Holder on next page (if different from the Owner listed above) Address:, 941 SW 8 Street City: Pompano Beach State: FI. Zip Code: 33069 Fax: 954-782-0995 Phone No. 800-226-6677 E-Mail: maryannp@amsofFla.com State or County License: CC C042787 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I I, uSUPPLEMENTAL CONSTRUCTION LIEN LAWN INFORMATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Nam ! tlamesBushoyse,, Name: Address' a�VAnilrews', y' A, 4., ' ���� ? Address: City: Pompano Beach vj I State: Fl. City: State: Zip,; 33069 Phone: 9`J4;9562203 t Zip: Phone: FEE SIMPLE TITLE HOLDER Name. °:I.! ,ia,w_-1.(.G ±,;f;�.� Address: 'v­1f-. � City:�_ w Zip: Phone: _ Y,, Nat Applicable BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pIools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. I,f you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. STATE OF FLORIDA COUNTY OF S i - L-v The forgoing instrument was acknowledged before me this (_ day of L 20 _C�Zby i I (Name of person acknowledging) j I I ' (Signature of Notary Public- State of Florida ) I Personally Known =�_ OR Produced Identification Type of Identification Produced ALAN MILLER Commission No. (s0111 COMMISSION # FF 19549 i EXPIRES: May 5, 2019 Revised 07/15/2014 STATE OF FLORIDA COUNTY OF wA-cam U The forgoing instrument was acknowledged before me this 1'i day of C-z crx_ 20')') by John E. Murray (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known �,\ OR Produced Identification Type of Identification Produced �,�:'� ALAN MILLER Commission No. * *apyCOMMISSION FF1954 EXPIRES: May 5, 2019 REVIEWS I FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I